PAUL E RUNGE MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****01

NOT RENEWED

N

PAUL E

RUNGE

MD

PAUL E RUNGE MD

12/10/1992

12/10/1992

07/31/1996

MARION

IL

62939

JOHNSON

II III IV V

N

04/05/2020